<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    

    <div class="form-group">
        <label for="c-rebate_type" class="control-label col-xs-12 col-sm-2">{:__('Rebate_type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-rebate_type" data-rule="required" class="form-control selectpicker" name="row[rebate_type]">
                {foreach name="rebateTypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label for="c-self_type" class="control-label col-xs-12 col-sm-2">{:__('Self_type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-self_type" data-rule="required" class="form-control selectpicker" name="row[self_type]">
                {foreach name="superiorTypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label for="c-self" class="control-label col-xs-12 col-sm-2">{:__('Self')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-self" data-rule="required" class="form-control" step="0.001" name="row[self]" type="number" value="0.000">
        </div>
    </div>

    <div class="form-group">
        <label for="c-superior_type" class="control-label col-xs-12 col-sm-2">{:__('Superior_type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-superior_type" data-rule="required" class="form-control selectpicker" name="row[superior_type]">
                {foreach name="superiorTypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label for="c-pid" class="control-label col-xs-12 col-sm-2">{:__('Pid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pid" data-rule="required" class="form-control" step="0.001" name="row[pid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group">
        <label for="c-ppid" class="control-label col-xs-12 col-sm-2">{:__('Ppid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ppid" data-rule="required" class="form-control" step="0.001" name="row[ppid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group">
        <label for="c-pppid" class="control-label col-xs-12 col-sm-2">{:__('Pppid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pppid" data-rule="required" class="form-control" step="0.001" name="row[pppid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group">
        <label for="c-agent_type" class="control-label col-xs-12 col-sm-2">{:__('Agent_type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-agent_type" data-rule="required" class="form-control selectpicker" name="row[agent_type]">
                {foreach name="agentTypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label for="c-aid" class="control-label col-xs-12 col-sm-2">{:__('Aid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-aid" data-rule="required" class="form-control" step="0.001" name="row[aid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group">
        <label for="c-aaid" class="control-label col-xs-12 col-sm-2">{:__('Aaid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-aaid" data-rule="required" class="form-control" step="0.001" name="row[aaid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group">
        <label for="c-aaaid" class="control-label col-xs-12 col-sm-2">{:__('Aaaid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-aaaid" data-rule="required" class="form-control" step="0.001" name="row[aaaid]" type="number" value="0.000">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
